Evidence map›Paper›PMID 37695343›Full record

ArticleSkeletal radiology2024

Perspectives and institutional policies on patient safety and image quality regarding the use of knee-spanning external fixators in MRI: A survey study of the Society of Skeletal Radiology.

Aaron J Marcel, Erin F Alaia, Michael J Alaia, Lee D Katz, Michael J Medvecky, Jack Porrino

Abstract read
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In one paragraph

Article in Skeletal radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Aaron J MarcelFrank H. Netter MD School of Medicine at Quinnipiac University, North Haven, CT, USA. Aaron.marcel@quinnipiac.edu.ORCID http://orcid.org/0000-0002-2058-9575
Erin F AlaiaDepartment of Radiology, NYU Grossman School of Medicine, New York, NY, USA.
Michael J AlaiaDivision of Sports Medicine, Department of Orthopaedic Surgery, New York University Langone Orthopedic Center, New York, NY, USA.
Lee D KatzDepartment of Radiology, Musculoskeletal Imaging, Yale School of Medicine, New Haven, CT, USA.
Michael J MedveckyDepartment of Orthopaedics & Rehabilitation, Yale School of Medicine, New Haven, CT, USA.
Jack PorrinoDepartment of Radiology, Musculoskeletal Imaging, Yale School of Medicine, New Haven, CT, USA.
Yale University · USNew York University · USOrthopedic Center · USQuinnipiac University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveConcerns regarding patient safety and image quality have made the use of knee-spanning external fixators in MRI a challenging clinical scenario. The purpose of our study was to poll practicing musculoskeletal radiologists on their personal experiences regarding the use of knee-spanning external fixators in MRI in an effort to consolidate practice trends for the radiologists' benefit.

methodsA 27-item survey was created to address the institutional use, safety, adverse events, quality, and perspectives of the radiologist related to MRI of an externally fixated knee. The survey was distributed to 1739 members of the Society of Skeletal Radiology.

resultsA total of 72 members of the Society of Skeletal Radiology completed the survey. Most notably, 40 of 72 (55.56%) respondents are permitted to place a knee-spanning external fixator inside the MR bore at their institution, while19 of 72 (26.39%) respondents are not permitted to do so. Fourteen of 32 (43.75%) respondents have institutional guidelines for safely performing an MRI of an externally fixated knee. Twenty-five of 32 (78.13%) respondents are comfortable permitting an MRI of an externally fixated knee.

conclusionWe found a general lack of consensus regarding the decision to scan a patient with a knee-spanning external fixator in MRI. Many institutions lack safety guidelines, and providers rely upon a heterogeneous breadth of resources for safety information. A re-examination of the FDA device labeling nomenclature and expectations of the individual manufacturers may be needed to bridge this gap and help direct management decisions placed upon the provider.

Indexed as

Patient SafetyRadiologyExternal FixatorsHumansMagnetic Resonance ImagingOrganizational PolicySurveys and QuestionnairesExternal fixatorInstitutional policiesKnee dislocationMRIMRI qualityPatient safety

Identifiers

PMID37695343
OpenAlexW4386591631

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.